【作者】 李莉；

【导师】 贾秀红；

【作者基本信息】 大连医科大学 ， 儿科学， 2013， 硕士

【摘要】 目的：分析儿童学习困难（Learning disability，LD）的影响因素，为心理咨询、膳食指导和制定有效的预防矫治与早期干预措施提供依据。方法：采用中国修订版韦克斯勒儿童智力量表(C–WISC)、Achenbach儿童行为量表(CBCL)、自制家庭环境状况问卷，同时结合微量元素的测定对108对LD儿童及正常儿童的智商、行为特点、早期发育、家庭环境状况及生活质量给予测评，并进行临床分析。结果：调查的108例学习困难儿童平均智力水平显著低于对照组，差异有统计学意义（t=10.8，P <0.05）； LD儿童测定血清微量元素Zn、Cu、Fe的水平显著低于对照组(P <0.05),而血清Pb水平显著高于对照组(P <0.05)；LD儿童的行为问题及家庭环境问题检出率亦均明显高于对照组(P <0.05)。结论：儿童学习困难与智力、行为特点、早期发育、家庭环境状况及微量元素水平等因素密切相关，防治应从多方面因素考虑，给予综合的干预和治疗模式。更多还原

【Abstract】 ObjectiveTo analyse the factors which might influence children’ s learning ability andprovide evidence for psychological counseling、dietary adjustment and interventionmeasures.MethodsWechsler Intelligence Scale for Children revised edition of China (c-w is c)、 Achenbach Child Behavior Scale (C BC L)、the self-questionnaire on the familyenvironment conditions and trace element were used to evaluate intelligence, behaviorcharacteristic respectively, family environment conditions and quality of life. The datawere analyzed.ResultsThe average intelligence of108children with learning difficulties which beinvestigated was lower than that of normal children (t=9.16，P <0.05). The serumzinc,copper, iron content in children with learning difficulties was significantly lower thanthat in control subjects (P <0.05). On the other hand, children with low intelligencehad significantly higher serum lead levels compared to the control children (P <0.05).The detection rate of behavior problems and family environment problems in childrenwith learning difficulties was significantly higher than that in control subjects.ConclusionThe children’ s intelligence factors,behavior， trace element and familyenvironment conditions have relation to study difficulties，Prevention and careshould consider many factors，give them synthetical intervention and treat pattern.更多还原